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1790274074
FERDINAND EKWUTOSI ENUDU
SISSETON, SD
NPI
1790274074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 137180)
Enumeration Date
2018-05-02
Last Update Date
2018-09-20
Business Address
FERDINAND EKWUTOSI ENUDU Nurse Practitioner
100 LAKE TRAVERSE DR
SISSETON, SD 57262-7046
Phone number: 605-698-7606
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Mailing Address
FERDINAND EKWUTOSI ENUDU Nurse Practitioner
512 OLD AGENCY DR UNIT 138
SISSETON, SD 57262-7227
Phone number: 713-478-5660
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